Background and Aim: Postgraduate trainees' level of satisfaction in terms of surgical performance in the field of

obstetrics and gynecology has a significant impact on their learning. Based on content, duration and structure of

training curricula in obstetrics and gynecology specialty varies throughout the globe. The residency programs'

ultimate purpose is to ensure competent, skilled, and independent practice capabilities of obstetrician and

Gynecologists by the end of their training. The current study aimed to assess the surgical competency of trainees

after post-graduation training in the field of obstetrics and gynecology.

Materials and Methods: This cross-sectional study was conducted in Pakistan using Google survey form, from

December 2020 to May 2021. This questionnaire-based study focused on the surgical competency of obstetrics

and gynecology trainees after their post-graduate training and consultancy in different cities of Pakistan. The

surgical competency of the trainee was evaluated by supervisors and consultants based on parameters such

Cesarean section, Laparotomy, Abdominal and vaginal hysterectomy, Manchester repair and other surgical

procedures. Informed consent was taken from all the individuals and details such as research background. Data

was collected using predesigned Google Proforma and were analyzed through SPSS version 20.

Results: Of the total 122 participants, 59 (48%) were supervisors while 63 (52%) were consultants. The mean

age of the consultant and supervisor was 41.11±7.05 and 54.13±6.45 years respectively. Out of 59 supervisors,

the prevalence of professor, associate professor, and assistant professor were 35 (59%), 10 (17%), and 6 (10%)

respectively whereas of the 61 consultants, faculty members were 38 (60%) and consultants were 22 (35%).

Based on number of trainee supervised by supervisors were categorized as follows; <3 trainee by 28 (47.5%),

and 4 to 10 trainee by 26 (44.1%) supervisors. About 98% consultants and supervisors agreed on trainee

performance in cesarean section procedure independently performed by the end of their post-graduate training

while More than 90% of the supervisors and consultants believed that the major surgical procedures like

abdominal and vaginal hysterectomy, manchester repair / other major gynaecological surgical procedures could

not be performed independently by trainees at the end of their post-graduate training.

Conclusion: Our study found that almost all the trainees of Obstetrics and Gynecology had the capability of

performing cesarean section at the end of their post-graduate training but failed to perform independently

hysterectomy and other major surgical procedures. Focal surgical exposure to Hysterectomies & Laparotomies

during training and affiliations with community hospitals as a source of additional operative volume for trainees

was the suggestion to improve surgical competency of trainees.

Keywords: Surgical competency, Post-graduate training, Obstetrics and Gynecology